06/04/2026
POV: Went for a sprint… hamstring said absolutely not
Helping Matthew through some minor niggles while he trains for his Marathon later this month.
The strength and rehab work we are doing is to
• Improve running economy (use less energy at the same pace)
• Reduce injury risk (especially calves, Achilles, knees, hips)
• Maintain muscle and power late in the race
•Keep posture solid when fatigue hits at mile 20+
You don’t need bodybuilder volume. You need strong, springy, fatigue-resistant tissues.
This taper phase is about
• Reducing fatigue + irritation
• Keeping some tendon load (not fully stopping)
• Keeping confidence in movement
Diagnosis - Hamstring proximal Tendinopathy
Ischial tuberosity pain
< symptoms after warm up but returns after activity
Agg- Deep squat, lunge (activity requiring deeper hip flexion)
Energy storage/ compression activity agg.
Am stiffness + after prolonged rest
Rehab phases
Isometrics are therapeutic early phase 1 rehab
• Bent knee bridge holds
• Heel digs (supine)
• 30–45 sec holds x 4–5
Rebuild strength (short → mid range) Phase 2
• Bridge progressions
• Hip thrusts (short range first)
• Slow tempo RDL (pain-free range)
Lengthen (ONLY when tolerated) Phase 3
• Full RDL
• Split squats (controlled)
• Hamstring sliders
Return to running / power
Phase 4 RTP
• Marching drills
• Pogos → bounds
• Gradual increase in sprint speeds
If you have pain speak to a professional, some exercises are not suitable for different phases of tissue healing.